Individual provider Active NPI

Tannia G Cisneros, OTR/L

  • Pediatric Occupational Therapist
  • Sunnyvale, CA
National Provider Identifier
1073690574
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
10834 Issued in CA
Practice address
1290 Lawrence Station Rd
Sunnyvale, CA 94089
Phone
(408) 743-5342
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 12412 FL
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 10834 CA Primary

Addresses

Primary practice location

1290 Lawrence Station Rd
Sunnyvale, CA 94089

Mailing address

1290 Lawrence Station Rd
Sunnyvale, CA 94089-2220
Phone (408) 743-5342

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-7224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12412FLMDNeurorehabilitation Occupational Therapist
10834CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Generation Sense, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

2580 Lafayette St
Santa Clara, CA 95050
Phone (408) 743-5332

1290 Lawrence Station Rd
Sunnyvale, CA 94089
Phone (408) 743-5222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1073690574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 LAWRENCE STATION RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892220",
            "telephone_number": "408-743-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 LAWRENCE STATION RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94089",
            "telephone_number": "408-743-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "TANNIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "12412",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.